"Health care fixed-point" no administrative examination and approval

Application conditions in public to a third party assessment

The 2015-12-16

Source: health

Report from our correspondent (reporter Ye Longjie) recently, the ministry of human resources and social security on the official website published on improve the basic medical insurance management guidance on the medical establishment that decide a dot agreement ", clear, by the end of 2015 to abolish all around the social insurance administrative department of the implementation of "qualification of the medical establishment that decide a dot of insurance of primary medical treatment" and "basic medical insurance fixed-point qualification of retail pharmacies" project, instead of directly to the management agreement.

It is understood that since the establishment of urban basic medical insurance system, according to the regulations of the state around the widespread implementation of the "two" credentials, and on this basis, the orgnaization of social insurance agency and through the review of the medical institutions and retail pharmacies designated service agreement, the agreement management. At present, in accordance with the new, decentralization, the spirit of the state council decided to cancel the qualification of "two".

Around the "opinions" put forward, and social security administrative department to cancel the qualification of "two" issues in time, to encourage and guide all kinds of ownership, the level and category of medical institutions to compete fairly. Various types of medical institutions established in accordance with the law, all can apply to the orgnaization of agency of as a whole the area voluntarily. As a whole the area people club department to public medical institutions should have the condition in time, develop medical institution evaluation rules and procedures. Orgnaization of agency of the assessments should pay attention to listen to the opinions, explore ways to carry out the assessment through a third party assessment, and overall consideration medical service resources, service ability and characteristic, the medical insurance fund supporting ability and information system construction and ginseng protect personnel to go to a doctor intention, equal communication, consultations and negotiations with the medical institutions, select services of good quality, reasonable price, service agreement standard management of medical institutions. Service agreement signed by both parties, shall be submitted to the social security administration department at the same level for the record.

Related, according to experts in the field of social security with the threshold to cancel, how to safeguard the interests of, and ensure the security of the medical insurance fund is the important topic, health department of medical institutions and drug regulatory needs new methods.